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患儿,男,12岁,因反复高热、头痛、神志不清、抽搐,3次入院。1988年6月8日。因头痛、高热4天,反复抽搐1天入院。无头颅外伤史,查体:T39℃,P104次/分,R18次/分,BP14.0/10.0kPa,神志不清,皮肤无瘀点,耳道无脓性分泌物,咽部稍红,克氏征阳性,巴氏征、布氏征阴性。化验:Hb115g/L,WBC9.2×10~9/L,L0.28, N0.72,脑脊液:外观清亮,潘氏试验(+),WBC35个,以淋巴细胞为主。诊断“病毒性脑膜炎”。给予脱水、对症、维生素C,青霉素,氯霉素治疗,住院12天,治愈出院。1989年8月和1990年5月上述症状两次复发入院。查体:T39.5℃克氏征阳性。脑脊液:外观清亮,潘氏试验(+),
Children, male, 12 years old, due to repeated high fever, headache, confusion, convulsions, 3 admitted. June 8, 1988 Due to headache, fever 4 days, repeated convulsions 1 day admission. No head trauma history, examination: T39 ℃, P104 times / min, R18 beats / min, BP14.0 / 10.0kPa, unconsciousness, skin petechia, purulent secretions of the ear canal, Krypton sign positive, Pakistan’s sign, cloth sign negative. Laboratory: Hb115g / L, WBC9.2 × 10 ~ 9 / L, L0.28, N0.72, cerebrospinal fluid: clear appearance, Pan test (+), WBC35, mainly to lymphocytes. Diagnosis of “viral meningitis.” Give dehydration, symptomatic, vitamin C, penicillin, chloramphenicol treatment, hospitalized 12 days, cured and discharged. August 1989 and May 1990 the above symptoms recurrence and admission to hospital. Physical examination: T39.5 ℃ Keshi sign positive. Cerebrospinal fluid: clear appearance, Pan test (+),